Individual
ELICIA KORTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E 8TH ST STE 230, SIOUX FALLS, SD 57103-7009
(605) 951-9981
Mailing address
900 S GLENDALE AVE, SIOUX FALLS, SD 57104-4533
(605) 951-9981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT10034
SD
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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